Provider Demographics
NPI:1952327710
Name:SOLIS, GEORGE PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:PATRICK
Last Name:SOLIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PAT
Other - Middle Name:
Other - Last Name:SOLIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:SUITE 162
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-827-1500
Mailing Address - Fax:713-984-1500
Practice Address - Street 1:909 FROSTWOOD DR
Practice Address - Street 2:SUITE 162
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2301
Practice Address - Country:US
Practice Address - Phone:713-827-1500
Practice Address - Fax:713-984-1500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5622174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26569Medicare UPIN
TX00CA40Medicare PIN